Active NPI
Robyn Lee Shepherd, ANP, CNS/PMH
- Nurse Practitioner
- Trion, GA
National Provider Identifier
1285694828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN046097
- Practice address
- 701 Allgood St
Trion, GA 30753-1357 - Phone
- (706) 734-2003
- Fax
- (706) 734-2099
- NPI assigned
- Mar 27, 2006
- Last updated
- Dec 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN046097 | GA | Primary |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | RN046097 | GA |
Addresses
Primary practice location
701 Allgood St
Trion, GA 30753-1357
Mailing address
701 Allgood St
PO Box 880
Trion, GA 30753-1357
Phone (706) 734-2003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00548182C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN046097 | GA | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trion Medical Center Inc. | Current | Accepting new patients | |
| Shepherd Resources | Past | Accepting new patients |
Locations
701 Allgood St
Trion, GA 30753
Phone (706) 734-2003
Interoperability endpoints
- robyn.shepherd1@gadirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Trion, GA
- NPI 1396759627
-
- Clinic/Center
- Trion, GA
- NPI 1134490048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261440000000",
"number": "1285694828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 ALLGOOD ST",
"address_2": "PO BOX 880",
"city": "TRION",
"state": "GA",
"postal_code": "307531357",
"telephone_number": "706-734-2003",
"fax_number": "706-734-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 ALLGOOD ST",
"city": "TRION",
"state": "GA",
"postal_code": "307531357",
"telephone_number": "706-734-2003",
"fax_number": "706-734-2099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "ROBYN",
"middle_name": "LEE",
"credential": "ANP, CNS/PMH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2009-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN046097",
"primary": true
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "GA",
"license": "RN046097",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00548182C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trion, GA
- Amber Laurel Rains-Vines, PHARMD
- Redmond Physician Practice Company (Redmond Family Care Center at Trion)
- Wayne T Richey, MD
- December Fallon Sargent, RBT
- Shepherd Resources
- Thompson Family Dentistry LLC
- Timothy W. Thompson, PHARMACIST
- Tommy Lester Thompson, PHARMACIST
- Trion Home Medical, Inc
- Trion Medical Center Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.